We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.
For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.
Provider Call Center
877-651-6677
24/7 Customer Service
8 a.m. - 5 p.m. for Member Advocates
Postal Mailing Address
UnitedHealthcare Community Plan
10701 W. Research Drive
Wauwatosa, WI 53226
Claims Mailing Address
UnitedHealthcare Community Plan
PO Box 5280
Kingston, NY 12402-5280
Utilization Management Appeals Address
UnitedHealthcare Community Plan
PO Box 31364
Salt Lake City, UT 84131-0364
Claims Appeals Mailing Address
Part C Appeals or Grievances:
UnitedHealthcare Community Plan
Attn: Complaint and Appeals Department
P.O. Box 31364
Salt Lake City, UT 84131-0364
Part D Appeals and Grievance Department
Attn: CA124-0197
P.O. Box 6106
Cypress, CA 90630-9948
Additional Information
UnitedHealthcare Behavioral Health
PO Box 30757
Salt Lake City, Utah 84130-0757
Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.
The state-specific requirements and process on how to join the UnitedHealthcare Community Plan network is found in the UnitedHealthcare Community Plan Care Provider Manuals.
Learn about requirements for joining our network.
The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:
Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.
Visit UHCCommunityPlan.com/WI for current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.
Plan information is available for:
Member plan and benefit information can also be found at UHCCommunityPlan.com/WI and myuhc.com.
When you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it.
Taking action and making a report is an important first step. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.
Call us at 1-844-359-7736 or visit uhc.com/fraud to report any issues or concerns.
UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.
Last Modified | 01.11.2021
Use this list of local health departments to learn about availability in your area. Availability may vary by location and time. We encourage you to check back often as information becomes more available.
Learn MoreLast Modified | 01.04.2021
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
Learn MoreLast Modified | 12.14.2020
Fax numbers that some acute and post-acute facilities use to notify us when UnitedHealthcare Community Plan members have been admitted will be retired on Dec. 1, 2020. We first announced this change in the August Network Bulletin. You can find more information and a list of retiring numbers at UHCprovider.com/admit. As always, we will comply with contractual and regulatory requirements.
Learn MoreLast Modified | 10.20.2020
We’ve refined medical policy documentation requirements and enhanced clinical coverage criteria for various procedures. This document contains information on effective dates by state and frequently asked questions.
Learn MoreLast Modified | 09.29.2020
UnitedHealthcare Community Plan is implementing a new Inappropriate Primary Diagnosis Policy, Facility, for facility claims with dates of services on or after November 1, 2020.
Learn MoreLast Modified | 01.11.2021
Use this list of local health departments to learn about availability in your area. Availability may vary by location and time. We encourage you to check back often as information becomes more available.
Learn MoreLast Modified | 01.04.2021
The UnitedHealthcare Dual Complete® plan is available for individuals who qualify for both Medicare and Medicaid.
Learn MoreLast Modified | 12.14.2020
Fax numbers that some acute and post-acute facilities use to notify us when UnitedHealthcare Community Plan members have been admitted will be retired on Dec. 1, 2020. We first announced this change in the August Network Bulletin. You can find more information and a list of retiring numbers at UHCprovider.com/admit. As always, we will comply with contractual and regulatory requirements.
Learn MoreLast Modified | 10.20.2020
We’ve refined medical policy documentation requirements and enhanced clinical coverage criteria for various procedures. This document contains information on effective dates by state and frequently asked questions.
Learn MoreLast Modified | 09.29.2020
UnitedHealthcare Community Plan is implementing a new Inappropriate Primary Diagnosis Policy, Facility, for facility claims with dates of services on or after November 1, 2020.
Learn MoreHIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. View our updated HIPAA information for UnitedHealthcare Community Plan.
UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. View our policy.
If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.